This patient had 2 previous facelifts but at the age of 71 felt that her neck and jowls were sagging too much again. Dr. Mark Anton in Newport Beach suggested a tertiary facelift including her eyelids and a chin revision. She had a tertiary full facelift at the SMAS (sub-muscular aponeurotic system) layer, this deeper layer is made of more inelastic, fibrous tissue that can hold the tension when elevated and repositioned. This layer is key to a natural appearing facelift as the overlying skin was then re-draped with minimal tension, giving her the most natural results that best withstand the test of time. Her incisions were made in the hairline and follow the inside crease of her ear and behind her earlobe, making the scars hidden and unnoticeable. She also had an upper and lower blepharoplasty (eyelid surgery) to remove the excess skin and give her eyes a more open and refreshed look. She also had a fat transfer to her right cheek and chin to help improve her contours. These photos were taken 10 months after her surgery.